| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.36 | $100.36 | $100.36 | |
Aetna
| Professional | $72.78 | $99.82 | $117.49 | |
Cigna
| Facility | $118.31 | $118.31 | $118.31 | |
Cigna
| Professional | $92.85 | $92.85 | $92.85 | |
Emblem Health
| Professional | $116.31 | $146.31 | $224.48 | |
Horizon BCBS
| Professional | $84.61 | $99.54 | $117.10 | |
United
| Professional | $80.33 | $117.10 | $202.19 |